Assessment of haemoptysis

Last reviewed: 21 Apr 2022
Last updated: 19 Aug 2021

Summary

Differentials

Common

  • Acute bronchitis
  • Chronic bronchitis
  • Pulmonary tuberculosis
  • Lung abscess
  • Pneumonia
  • Primary lung cancer
  • Lung metastasis
  • Anticoagulants, thrombolytic agents
  • Toxic inhalation
  • Bronchiectasis
  • Pulmonary thromboembolism
  • Mitral valve stenosis
  • Left ventricular failure
  • Coagulopathy
  • Thrombocytopenia
  • Disseminated intravascular coagulation
Full details

Uncommon

  • Aspergilloma
  • Endobronchial and pulmonary mucormycosis
  • Endobronchial carcinoid
  • Aspiration of foreign body
  • Aspiration of gastric contents
  • Broncholithiasis
  • Tracheo-oesophageal fistula
  • Bronchial telangiectasia
  • Airway trauma
  • Dieulafoy's disease
  • Thoracic endometriosis
  • Pulmonary artery aneurysm
  • Fat embolism
  • Tumour thromboembolism
  • Arteriovenous malformation
  • Pulmonary haemorrhagic syndromes
  • Granulomatosis with polyangiitis (formerly Wegener's granulomatosis)
  • Systemic vasculitis
  • Congenital heart disease
  • Tricuspid endocarditis
  • Bronchogenic cyst
  • Factitious haemoptysis
Full details

Contributors

Authors

Irawan Susanto, MD, FACP, FCCP

Professor of Medicine

Interventional Pulmonology

David Geffen School of Medicine

University of California

Los Angeles

CA

Disclosures

IS declares that he has no competing interests.

Joanne M. Bando, MD

Associate Professor of Medicine

David Geffen School of Medicine

University of California

Los Angeles

CA

Disclosures

JMB declares that she has no competing interests.

Acknowledgements

Dr Irawan Susanto and Dr Joanne Bando would like to gratefully acknowledge Dr Erik Folch and Professor James K. Stoller, previous contributors to this topic.

Disclosures

EF and JKS are authors of references cited in this topic.

Peer reviewers

Francis Thien, MD, FRACP, FCCP

Professor

Box Hill Hospital and Monash University

Victoria

Australia

Disclosures

FT declares that he has no competing interests.

Miguel Angel de Gregorio, MD, PhD

Interventional Radiologist and Pulmonologist

Full Professor and Chief of Interventional Radiology

University of Zaragoza

Zaragoza

Spain

Disclosures

MAdG has been reimbursed by Cook Medical and Abbott Vascular for attending several conferences; by Cook Medical and UCB Pharma for speaking; by Cook Medical and St Jude Medical for running educational programs.

Harman Singh Paintal, MBBS

Staff Physician

Division of Pulmonary & Critical Care Medicine

US Department of Veterans Affairs

Palo Alto Health Care System

Clinical Assistant Professor of Medicine

Stanford University School of Medicine

Palo Alto

CA

Disclosures

HSP declares that he has no competing interests.

Guy W. Soo Hoo, MD, MPH

Director

Medical Intensive Care Unit

West Los Angeles VA Healthcare Center

Los Angeles

CA

Disclosures

GWSH declares that he has no competing interests.

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